Physician

Wayne Plooster, DO

According to 2025 Medicare claims, Wayne Plooster, DO (NPI: 1013101054) practices family practice in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is RAPID CITY MEDICAL CENTER, LLP (NPI: 1487602843; TIN: 460218851) and primary practice location at 57701-4677. Plooster is affiliated with the On Belay Health Solutions (ACO ID: A5702), participating under the MSSP model.

Plooster's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 622 traditional Medicare patients, billed 9,111 HCPCS/CPT codes, and received $233,203 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,327 prescription claims across 675 beneficiaries totaling $646,485 in drug costs, led by Jardiance (Empagliflozin). DME data shows 379 claims. Open Payments data shows 1 records totaling $15. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $55,258 to $233,203. Similarly, Part D prescription costs have risen steadily, from $80,005 to $646,485. In contrast, DME billing represents a smaller volume and rose steadily, from $3,055 to $27,031.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$119K$237K2015 Medicare payment: $55,258 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $121,850 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $137,319 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $189,122 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $211,078 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $189,832 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $215,147 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $213,029 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $237,379 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $233,203 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153992,802$55,258
20164959,209$121,850
201753612,066$137,319
201861915,195$189,122
201963616,862$211,078
202062913,885$189,832
202158714,353$215,147
202264211,025$213,029
20236958,531$237,379
20246229,111$233,203

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$329K$659K2015 Drug cost: $80,005 (USD; Tot_Drug_Cst)2016 Drug cost: $249,096 (USD; Tot_Drug_Cst)2017 Drug cost: $443,273 (USD; Tot_Drug_Cst)2018 Drug cost: $469,204 (USD; Tot_Drug_Cst)2019 Drug cost: $524,847 (USD; Tot_Drug_Cst)2020 Drug cost: $595,093 (USD; Tot_Drug_Cst)2021 Drug cost: $656,617 (USD; Tot_Drug_Cst)2022 Drug cost: $658,764 (USD; Tot_Drug_Cst)2023 Drug cost: $654,225 (USD; Tot_Drug_Cst)2024 Drug cost: $646,485 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152521,433$80,005
20163514,771$249,096
20174187,220$443,273
20185228,784$469,204
20195398,691$524,847
20206149,149$595,093
20215999,507$656,617
20226469,589$658,764
20236919,283$654,225
20246759,327$646,485

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.0M$2.1M2015 Medicare payment: $2,555 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $7,249 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $6,100 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $11,764 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,895 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $9,774 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $15,204 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $21,125 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,065,324 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $18,483 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R37$2,555
201624164$7,249
201736220$6,100
201821194$11,764
201924151$3,895
202094321$9,774
2021107336$15,204
2022133445$21,125
2023515936$2,065,324
202458379$18,483

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more399571$77
80061Blood test, lipids (cholesterol and triglycerides)311323$13
80053Blood test, comprehensive group of blood chemicals361421$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count405508$8
36415Insertion of needle into vein for collection of blood sample461737$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin753,901$75,139
EliquisApixaban783,564$69,331
XareltoRivaroxaban523,210$58,289
GlyxambiEmpagliflozin/Linagliptin361,835$36,723
Trelegy ElliptaFluticasone/Umeclidin/Vilanter401,500$32,321

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R17$5,296
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R42$2,880
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R17$1,629
A7031Face mask interface, replacement for full face mask, eachNN/R14$1,140
A7030Full face mask used with positive airway pressure device, eachNN/R12$1,115

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$15E.R. Squibb & Sons, L.L.C.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Wayne Plooster, DO?

Tedicare shows public-source Medicare data for Wayne Plooster, DO (NPI 1013101054), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Wayne Plooster, DO have ACO affiliation data?

Wayne Plooster, DO is shown with ACO affiliation data for On Belay Health Solutions (MSSP, ACO ID A5702).

What billing organization is linked to Wayne Plooster, DO?

Wayne Plooster, DO is linked to RAPID CITY MEDICAL CENTER, LLP (billing NPI 1487602843) in the available physician profile data.

Does Wayne Plooster, DO have Open Payments data?

Wayne Plooster, DO has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.